| Certificate | E 47672 |
| Place of Death | University Hospital |
| Full Name | William James Beatty |
| Residence | Pasadena, Maryland |
| Sex | Male |
| Color or Race | White |
| Single, Married, Widowed or Divorced | Married |
| Date of Birth | Feb. 28, 1888 |
| Age | 41 years, 4 months, 14 days |
| Occupation | Lumberman |
| Employer | Self |
| Birthplace | Maryland |
| Name of Father | William Beatty |
| Birthplace of Father | Maryland |
| Maiden Name of Mother | (Unable to read) |
| Birthplace of Mother | Maryland |
| Informant | Mrs. William J. Beatty |
| Address | Pasadena, Maryland |
| Date of Death | July 14, 1929 I hereby certify that I took charge of the thereon and from the evidence obtained by said inquiry find that said deceased came to death on the day stated above The cause of death was as followed: 2nd & 3rd degree burns over entire body. Accidental Death Where was disease contracted if not at place of death - Pasadena, Md |
| Did an operation proceed death | No |
| Signed | Eugene ? |
| Date | 7/15/1929 |
| Address | 2739 Eastern Ave. M.D. |
| Place of Burial, Cremation or Removal | Magothy Church Cemetery |
| Date of Burial | July 17, 1929 |
| Undertaker | John Denny |
| Address | ? Light |
Submitted by Nancy Beatty
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